CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: HCA Healthone Presbyterian St Luke's

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $317
Cash Discount Price: $1,344
vs. Medicare Baseline: 3.57x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at HCA Healthone Presbyterian St Luke's is $317. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,344. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.57x the Medicare baseline. Located in 1719 E 19Th Ave, Denver, CO.

Cash / Self-Pay

$1,344

Average discount available for prompt cash payment at this facility.

Insurance Median

$317

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $1,344 (1512%)

Insurance Median: $317 (357%)

Cash: $1,344 (1512% of Medicare)

Ins. Median: $317 (357% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 357% of the Medicare baseline (a markup of 257%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$26 - $995	29%
United	$138 - $605	155%
Pinnacol Workers Comp	$140	157%
Multiplan	$146 - $1,210	164%
Rocky Mountain Health Plan	$182	205%
Vail Health	$204	229%
Cigna	$258 - $860	290%
Kaiser	$269 - $350	303%
Aetna	$403 - $710	453%
Bright Health	$403	453%
Emerging Therapy Solutions	$645 - $860	725%
Kaiser National Transplant	$645	725%
Colorado Program For Children With Special Needs	$686	772%
Western Plains Community Health	$874	983%
Northcare	$941	1058%
Physician Health Partners	$941	1058%
Medical Development International	$1,075	1209%
Prime Health	$1,210	1361%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,344.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72040.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Healthone Presbyterian St Luke's is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72040.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.